Horobin J M, Matthew B M, Preece P E, Thompson A J
Department of Surgery, Ninewells Hospital and Medical School, Dundee, UK.
Br J Surg. 1992 Jan;79(1):52-4. doi: 10.1002/bjs.1800790118.
The effects of fine needle aspiration on subsequent mammography were studied in a group of women who were referred with palpable breast lumps. Fifty-two women aged between 36 and 73 (median 53) years underwent mammography before and within 5 days of needle aspiration. Preaspiration and postaspiration mammograms were examined 'blind' by one radiologist. In ten cases, a difference was seen between the preaspiration and postaspiration films. In seven (aged 36-50 years) this was due to aspirated cysts. In three the differences were unexpected and were more significant, although the radiological diagnosis was not altered. If this proportion is extrapolated for a large number of patients then significant numbers of artifacts from fine needle aspiration might be seen on mammograms. It is possible that some might be interpreted falsely as malignant and some small cancers might be obscured. Women accepted mammography more readily before aspiration than after.
在一组因可触及乳腺肿块而前来就诊的女性中，研究了细针穿刺对后续乳房X线摄影的影响。52名年龄在36至73岁（中位数53岁）之间的女性在细针穿刺前及穿刺后5天内接受了乳房X线摄影检查。一名放射科医生“盲法”检查穿刺前和穿刺后的乳房X线片。在10例病例中，穿刺前和穿刺后的片子存在差异。其中7例（年龄在36至50岁之间）是由于吸出囊肿所致。另外3例差异出乎意料且更为显著，尽管放射学诊断未改变。如果将这个比例推算到大量患者身上，那么在乳房X线片上可能会看到大量来自细针穿刺的伪影。有可能一些伪影会被错误地解释为恶性，而一些小癌症可能会被掩盖。女性在穿刺前比穿刺后更愿意接受乳房X线摄影检查。
